{
"Npi": {
"NPI": "1427120484",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEHIGH PULMONARY ASSOCIATES, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 3445",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "N FORT MYERS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33918-3445",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-369-3333",
"MailingAddressFaxNumber": "239-369-4837",
"FirstLinePracticeLocationAddress": "2625 LEE BLVD",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "LEHIGH ACRES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33971-1569",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "239-369-3333",
"PracticeLocationAddressFaxNumber": "239-369-4837",
"EnumerationDate": "11/14/2006",
"LastUpdateDate": "02/02/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EL-GENDY",
"AuthorizedOfficialFirstName": "ALAA",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "239-369-3333",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "ME85931",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}